| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder |
Individuals who represent the Seventh-day Adventist Church and lay people who are in good standing with the Seventh-day Adventist Church serve as members of Adventist Health System/West. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body |
Annually the members meet for the purpose of conducting the business of the membership. Actions are taken as required to enable Adventist Health System/West to continue operating in concert with its Articles and Bylaws. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders |
Board appointments are approved by the membership. |
| Form 990, Part VI, Line 11b: Form 990 Review Process |
The completed Form 990 is shared with members of the corporation's board of directors by electronic communication for their review prior to filing. A special board meeting is scheduled to answer questions and receive input from the board prior to filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts |
During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the CEO immediately. The internal audit staff reviews these questionnaires and disclosures each year during the audit process. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management |
See explanation of process for setting CEO compensation on the below Form 990, Part VI, Line 15b explanation. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees |
The Adventist Health System/West board of directors has established a Human Performance (fka Compensation) Committee to oversee the executive compensation program. This committee is composed of independent directors with no conflicts of interest. The committee performs the following functions: recommends a total compensation philosophy to the board; assures compliance with the board-approved philosophy; meets annually to review comparability data from outside consultants; recommends any adjustments to current executive compensation that would be indicated by the data, including salary ranges for the organization's Executive Cabinet; evaluates executive performance against annual goals; recommends appropriate incentive awards to the board for approval; follows a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness; records committee deliberations and decisions in timely minutes; selects, engages and supervises any consultant hired to advise and provide comparability data.The board-approved executive compensation philosophy specifies that salary ranges will be established for executives with midpoints set at the median of the peer group and having a 50 percent spread (about 20% above and below midpoint) from minimum to maximum. The CEO and Sr Vice Presidents (Executive Cabinet) have a maximum potential incentive of 30 percent of base salary. (This incentive potential is less than the industry norm.) Other executives have a maximum potential incentive of 25 percent of base salary. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available |
The corporation does not make its governing documents publicly available beyond required filings of articles of incorporation with the secretary of state. The corporation does not make its conflict of interest policy available upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases |
Loss on discontinued operations = -$3269006 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases |
Transfers to related organizations = -$25929095 |
| Sch K (2nd), Part 1, Column (f), Line A |
Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA |
| Sch K, Part 1, Column (f), Line C |
Refund outstanding balance of the following bond issues:1991 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 23, 19911991 California Health Facilities Financing Authority (AHS/West Series B) bonds issued September 25, 19911991 City of Glendale (AHS/West Series A) bonds issued July 23, 1991 |
| Sch K, Part 1, Column (f), Line D |
Refinance a bank loan used to construct, equip and improve:Adventist Medical Center - Portland, Portland, OR |
| Schedule K (2nd), Part 1, Column (f), Line B |
Refund outstanding balance of the following bond issues:2002 California Health Facilities Financing Authority (AHS/West Series A) bonds issued March 20, 20022002 California Health Facilities Financing Authority (AHS/West Series B) bonds issued March 20, 20022003 California Health Facilities Financing Authority (AHS/West Series A) bonds issued July 1, 2003 |
| Schedule K (2nd), Part 1, Column (f), Line C |
Acquire, construct, and equip the following health care facilities:Central Valley General Hospital, Hanford, CAFeather River Hospital, Paradise, CAWillits Hospital, Inc, Willits, CAHanford Community Hospital, Hanford, CASan Joaquin Community Hospital, Bakersfield, CAUkiah Valley Hospital, Ukiah, CAAcquire and install a clinical information system:Adventist Health System/West, Roseville, CA |
| Schedule K (2nd), Part 1, Column (f), Line D |
Refund outstanding balance of the following bond issue:2005 California Statewide Communities Development Authority (AHS/West Series A) bonds issued October 18, 2005 |
| Schedule K (3rd), Part 1, Column (f), Line A |
Acquire, construct and equip the following health care facilities:Hanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CA |
| Schedule K (3rd), Part 1, Column (f), Line A |
Advanced refund outstanding balance of the following bond issues:1998 California Health Facilities Financing Authority (AHS/West Series A) bonds issued February 18, 19982007 California Statewide Communities Development Authority (AHS/West Series B) bonds issued May 8, 20072007 California Statewide Communities Development Authority (Lodi) bonds issued December 13, 20072009 California Health Facilities Financing Authority (AHS/West Series A) bonds issued May 20, 2009 |
| Schedule K, Part 1, Column (f), Line A |
Construct, equip and remodel the following health care facilities:Feather River Hospital, Paradise, CAHanford Community Hospital, Hanford, CASimi Valley Hospital and Health Care Services, Simi Valley, CA |
| Schedule K, Part 1, Column(f), Line B |
Acquire, construct and equip the following health care facilities:Adventist Health Clearlake Hospital Inc, Clearlake, CAFeather River Hospital, Paradise, CAGlendale Adventist Medical Center, Glendale, CAHanford Community Hospital, Hanford, CASt. Helena Hospital, St. Helena, CASimi Valley Hospital and Health Care Services, Simi Valley, CA |
Attach to Form 990 or 990-EZ.